OPTIMART, INC. (NPI# 1922215136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922215136 |
| Entity Type | Organization |
| Organization Name | OPTIMART, INC. |
| Other Organization Name | OPTIMART, INC. #05 |
| Practice Address |
7165 Seminole Blvd Seminole FL 33772-5934 |
| Mailing Address |
4399 35th St N Saint Petersburg FL 33714-3717 |
| Practice Telephone | 7273920907 |
| Practice Fax Number | 7273920897 |
| Mailing Telephone | 7275260501 |
| Mailing Fax Number | 7275221408 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | GREGORY LOUIS MATHIS (ADMINISTRATOR) |
| Authorized Official Telephone | 7275260501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
OE379 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 630126600 | 05 |
| Other Name | Type Code |
|---|---|
| OPTIMART, INC. #05 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316154164 | Optimart, Inc. | Technician/Technologist | 5115 34th St S, St Petersburg, FL 33711-4515 | 2007-05-17 |
| 1487861449 | Optimart, Inc. | Technician/Technologist | 2325 Bee Ridge Rd, Sarasota, FL 34239-6204 | 2007-05-17 |
| 1801003678 | Optimart, Inc. | Technician/Technologist | 1867 Tamiami Trl S, Venice, FL 34293-3142 | 2007-05-17 |
| 1609083484 | Optimart, Inc. | Technician/Technologist | 7440 Gall Boulevard, Zephyrhills, FL 33541-4308 | 2007-05-17 |
| 1124235049 | Optimart, Inc. | Technician/Technologist | 10041a Us Highway 19, Port Richey, FL 34668-3742 | 2007-05-17 |
| 1780110924 | Optimart, Inc. | Technician/Technologist | 4359 35th St N, St Petersburg, FL 33714-3717 | 2017-05-09 |
| 1861600488 | Optimart, Inc. | Technician/Technologist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2007-05-18 |
| 1740497676 | Optimart, Inc. | Technician/Technologist | 13161 Cortez Blvd, Brooksville, FL 34613-7804 | 2007-05-17 |
| 1174730352 | Optimart, Inc. | Technician/Technologist | 35170 Us Highway 19 N, Palm Harbor, FL 34684-1929 | 2007-05-17 |
| 1811104672 | Optimart, Inc. | Technician/Technologist | 1661 Se Us Highway 19, Crystal River, FL 34429-4830 | 2007-05-17 |
| Street Address |
7165 SEMINOLE BLVD |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772-5934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063554533 | Truman Mcghee | Optometrist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2007-02-13 |
| 1396915559 | Allen Dwayne Lamasco | Technician/Technologist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2008-03-04 |
| 1760687859 | Jeffrey William Trull | Technician/Technologist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| Find all providers in zip 33772 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699712067 | Lakeside Optical Inc | Technician/Technologist | 6595 Seminole Blvd, Seminole, FL 33772-6314 | 2006-06-02 |
| 1427220854 | Shawn Lee Reeser | Technician/Technologist | 304 N Main St, Seminole, OK 74868-3428 | 2008-03-26 |
| 1396915559 | Allen Dwayne Lamasco | Technician/Technologist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2008-03-04 |
| 1760687859 | Jeffrey William Trull | Technician/Technologist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
| 1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
| 1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
| 1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| 1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.